Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.65 / $48.65 / $48.65	Facility		$48.65	$48.65	$48.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.35 / $46.56 / $61.02	Professional		$45.35	$46.56	$61.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.20 / $127.12 / $164.78	Facility		$61.20	$127.12	$164.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $65.91 / $112.99	Professional		$61.20	$65.91	$112.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $58.84 / $117.17	Facility		$58.84	$58.84	$117.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $58.84 / $491.11	Professional		$42.95	$58.84	$491.11
United Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $50.34 / $78.30	Professional		$39.38	$50.34	$78.30